LEAVE APPLICATION FORM
Completed by Employee:
Name : Employee No.:
Dept : Designation:
Type of leave:
ANNUAL LEAVE _ UNPAID LEAVE EMERGENCY LEAVE
MEDICAL LEAVE COMPASSIONATE TIME-IN-LIEU
OTHERS :
________________________________________________________________________________
Date taken from: _ / /2022 - / /2022
Number of days: ____ days
Contact number in case of emergency: ______________
________________________ __________________________
Employee Signature Back up Name
________________________ __________________________
Date: Backup Signature
Completed by Superior:
APPROVE: _______ REJECT: _______
Reason of rejection: _____________________________________________________________________
_______________________ _________________________
Immediate Superior Received by HR
Date: Date: